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Dr. Anil Shah:
So we’re gonna do a mini podcast here. I’m pleased to be joined by Alan Zientarski. He is our newest edition at Aesthetic Skin. He’s gonna be heading up our North Shore office as well as coming downtown, and we’re gonna be focusing today on one specific area and that’s gonna be on jawlines and making jawlines more attractive. Just some background in a, Allen’s been interested in beauty in all things, beauty. I, I guess what your whole life, my
Alan Zientarski:
My whole life. Ever since the beginning.
Dr. Anil Shah:
And we’ll do a little bit more background, you know earlier, but talking about things with Alan the jaw. So what’s made you so captivated about jaws and jawline.
Alan Zientarski:
I think jaw and jawline has always been a thing that has been important in the beauty community. I think when it comes to males, for example, they really like that block here are kind of more square appearance. And that’s been seen in multiple movies before all of my friends always talk about wanting more of a stronger jawline. Even my female friends, they really want more of a V line. That’s kind of more of the aesthetic appearance that they like to have or females like to have. And it’s just always been in, it never came out of style and I feel like people always wanted good jawline.
Dr. Anil Shah:
You’re absolutely right. So let’s talk about that. Male versus female differences. So you kinda hinted at this already, so what’s the classic. Is there an actor or person that you would say, “oh my God, this is my classic jawline.” And sometimes that changes a little bit. I sometimes go to like some of the 1950s, Hollywood, and I think of like James Dean and, and some of the, the actors from, from there. They’re just kinda you know, we think before the plastic surgery, although there’s hints of plastic surgery back then,uis there an actor you have, and is there kind of a look you like, or is it kind of vary from person to person?
Alan Zientarski:
Honestly, I would say it varies, but I love Ashton Kutcher jawline. I think he has a really great jawline. Zach Efron also has a pretty great jaw line even before his surgery. He also had a plastic surgery done before on his jawline. But prior to that, I really enjoyed the way that it looked too. It’s just a very strong masculine appearance
Dr. Anil Shah:
And, and you hit to that there with the square and versus the female jawline being a little bit more on the V-shape. Now, when you’re talking about V-shape, does it mean it’s like, do you like that pointy V or do you like soft V and what’s your, your preference for that?
Alan Zientarski:
I think it also depends on the face shape and how the, the patient likes to look, you know, I don’t think there’s a right or wrong answer. I think sometimes a sharper angle works better for somebody’s facial features versus a little bit of a softer angle. If they have more protrusion on the outside, you wanna soften it more versus kinda jaded and kinda unproportional.
Dr. Anil Shah:
Do you think this whole beard trend and both me and you have beard and facial hair, do you think it’s because men are trying to either hide jaw lines or make their existing jaw lines look better?
Alan Zientarski:
100%. I think they actually try to maximize kind of the angle by kind of etching and shaping the hair that they have on their on their face. Just because once again, certain men just don’t have more of a defined jaw line, and that’s why fillers use as a, as a helping tool, but you can also use facial hair to shape it because the more you etch it, the more of an angle you can create and kinda falsify that appearance.
Dr. Anil Shah:
Cool. And I guess women don’t have have facial hair at their disposal, but some women will try and hide that with makeup and in jaw and trying create some shadow. Because I guess whether it’s a beard or makeup, it’s all about that, that shadow, trying to see that shadow and changing that. So if we’re talking about techniques do you have a favorite filler if you’re gonna go in the jawline or you just sort of change it from person to person?
Alan Zientarski:
I think it depends on how the patient is feeling. So if the patient is feeling like they, you know, they know exactly what they want and want more of a permanent filler, I would go with Radiesse that is a excellent filler to use. If patients are a little bit more hesitant, kind of wanna foresee what, what it looks like and how they would look with more defined jaw, I would do Restylane Contour. I think that’s a wonderful product to use. Just to kind of give more of a hyaluronic acid base filler we can reverse just in case they don’t like, like the appearance. And the way that I go about it is pretty much using the cannula. I think can really, really create a wonderful shape by using that cannula and kinda etching out those edges and making it really sharp and nice beautiful.
Dr. Anil Shah:
Is there a number of fillers like number, if someone comes in says, do I need one syringe? Two syringes? Four syringes? Or again, how, how do you go about that?
Alan Zientarski:
I typically start, I would say definitely like two, usually just as a baseline, just because once again, there’s a lot of surface area to cover. And depending on how strong they want that jawline and how, how much volume we’re trying to achieve, it really varies. We kind of go with, you know, we start with new even one to two, see where you look and then you kinda add on if they, if they would like more, but at least I would say definitely two.
Dr. Anil Shah:
Yeah. And we’re talking about adding with filler. And so we’re talking with filler let’s kinda isolate this. We mentioned the chin earlier and kinda V versus square. How about the angle? Is that more of a male or female issue? Trying to create a defined angle. And then again, is that what are you doing when you’re doing that?
Alan Zientarski:
I naturally kind of follow the bone structure that the, the individual has you kinda feel around the area and see how much of that line is present there. And then you kind of maximize it depending on how sharp that that angle at the end is. And you contour it that way because you can’t also, you know, kind of create too much blockiness here and make it unproportional. So once again, it’s all about a lot of kind of feeling their natural bone structure and kind of enhancing that versus trying to create something possibly that might not, you know, come out of proportion.
Dr. Anil Shah:
And then tools. We talked about tools of addition and talked about some of the different fillers you can use. Any tools you can do non-surgically for subtracting?
Alan Zientarski:
Yeah, definitely. So other things we can do is Kybella. Kybella is a wonderful product that we can use to kind of dissolve the fat it’s deoxycholic acid. It’s kind of, it’s produced by the gallbladder and it helps dissolve fat. So that’s something that definitely can be used to enhance that angle because if you do have superficial submental fat or essentially fat under the chin we can kind of dissolve that and, and, you know, enhance that shape. Other things you can also use Botox. Botox is also great to use for, for the, you know, for the angle of the jaw, just because you can paralyze the muscle here in terms of platysmal, kinda pick it up and then you’ll have a nice sharp angle with that.
Dr. Anil Shah:
Beautiful. So it’s all about balance. It sounds like. And so if you’re talking about jawlines, it’s adding in certain areas, subtracting, subtracting either with with Kybella. Sometimes you can actually even subtract masseter muscle and all that together to create a beautiful jawline. Awesome. Awesome. Well, thanks so much, Alan, for joining us on this quick mini podcast.
Alan Zientarski:
Of course. Thanks!